Organization
UEVOLUTION PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SERRYN TRACEY (OPERATIONS DIRECTOR)
(310) 880-5601
Entity
Organization
Contact information
Practice address
621 S SPRING ST, LOS ANGELES, CA 90014-3908
(213) 788-2773
Mailing address
621 S SPRING ST, LOS ANGELES, CA 90014-3908
(213) 788-2773
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
34748
CA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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